Betty M Bohannon (NPI# 1346219011, PAC ID# 2567429301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1346219011 |
| PAC ID by PECOS | 2567429301 |
| Professional Enrollment ID | I20170322002345 |
| Full Name | Betty M Bohannon |
| Organization Legal Name | SHERIDAN HEALTHCARE OF ARKANSAS PA |
| Address |
700 W Grove El Dorado AR 71730-4416 |
| Phone Number | 8708643390 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1996 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 0840250114 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040088 | MEDICAL CENTER SOUTH ARKANSAS |
| 210019 | PENINSULA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 W Grove, El Dorado, AR 71730-4416 | 8708643390 | SHERIDAN HEALTHCARE OF ARKANSAS PA |
| 641 S Salisbury Blvd, Salisbury, MD 21801-5429 | 4105434590 | SHERIDAN ANESTHESIA SERVICES OF MARYLAND, PC |
| Organization Legal Name | SHERIDAN HEALTHCARE OF ARKANSAS PA |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin J Jumper | Anesthesiology | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Misty Lee Kneeland | Anesthesiology | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Dusti Mackey | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Courtney L Ward | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Keith R Mayfield | Anesthesiology | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Kim A Fouquier | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Alvin R Hamilton | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Susan E Langley | Certified Registered Nurse Anesthetist | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Larry J Meyers | Anesthesiology | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Street Address |
700 W GROVE |
| City | EL DORADO |
| State | AR |
| Zip | 71730-4416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin J Jumper | Anesthesiology | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Misty Lee Kneeland | Anesthesiology | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Dusti Mackey | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Courtney L Ward | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Keith R Mayfield | Anesthesiology | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Kim A Fouquier | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Alvin R Hamilton | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Susan E Langley | Certified Registered Nurse Anesthetist | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Larry J Meyers | Anesthesiology | Sheridan Healthcare of Arkansas Pa | 700 W Grove, El Dorado, AR 71730-4416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Watson Ii | Family Medicine | 3108 N W Ave, El Dorado, AR 71730-2731 | |
| Tanya M Golden | Nurse Practitioner | Family Care of Southern Arkansas, Ltd | 3108 N W Ave, El Dorado, AR 71730-2731 |
| Steven T Sowell | Optometry | 2730 N W Ave, El Dorado, AR 71730-3124 | |
| Anita M Burleson | Nurse Practitioner | 1000 N College Ave, El Dorado, AR 71730-3711 | |
| Christie F Skinner | Nurse Practitioner | 1000 N College Ave, El Dorado, AR 71730-3711 | |
| Jerry H Grant | Family Medicine | 1320 N Highland Ave, El Dorado, AR 71730-3929 | |
| Diedra Hayman | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Terri A Rowe | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Richard L Sylvester | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Alyssa Dykes | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Find all physicians in zip 71730 | |||
| City | EL DORADO |
| Zip Code | 71730 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | EL DORADO + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Betty M Bohannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.